ORDER FORM

        ======================== QBXSBC 1.00 ==========================


                                Price        Qty        Amount

   *QBXSBC, the package. . . . $19.95ea.  X         =
                                           ---------  ---------

   *QBXSBC, assembly source. . $29.95ea.  X         =
                                           ---------  ---------

                Texas residents, sales tax (8.025%) =
                                                      ---------
                       All foreign orders add $5.00 =
                                                      ---------

                                             TOTAL =
                                                      =========

        Send full payment to:

                                Cornel Huth
                                Attn: QBXSBC 1.0 REGISTRATION
                                6402 Ingram Rd.
                                San Antonio, TX 78238  USA

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    *IF YOU WANT ANY SOURCE YOU MUST SIGN THIS NON-DISCLOSURE AGREEMENT.

    I hereby agree that the source code provided by Cornel Huth shall
    not be released to any other person, and that the source code is
    for my personal, non-commercial, use only. I understand that by
    signing this statement, I will abide by the terms of this agreement.


    Sign here:                          Date:
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    Mail to:
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